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HomeMy WebLinkAbout020-1000-30-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Lund, Ja & Gail .Hudson, Town of CST BM Elev: Insp. BM Eiev: BM Description: d i~ IOn ~ © ;di TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~-- ,~ ~~ 9 , , t ~ (j(~ -~ S~ Aera n L~ ~ ~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Semitic g ~ ~ lode ~ZS' Ae tion ~_ - -- - Holding PUMP/SIPHON INFORMATION Manufacturer errand GPM Model Number TDH Lift Friction tem Head TDH Ft Forcemain h Dia. Dist. to well C/lll ARCl1DDTI(1AI CYRTFM wn n i i~~ I Q n .: _ A County: Sf. CrOIX Sanitary Permit No: 506209 0 State Plan ID No: Parcel Tax No: 020-1000-30-000 Section/Town/Range/Map No: 07.29.19.1 C STATION BS HI F5 ELEV. Benchmark 0. ~ vo~ iG~ a Alt. BM 7u ~C-6l/~~L ~ 1 ~7~ ~B ~ 'Z 9 Bldg. Se er~ / V T I t/Ht le ~C Q ~% (fit(.(.!' pp 0~~ G 7o?.'I~ S Ht utle e7. 2 8 i J f~Z 'S L e ~- Dt ~ ~ eader/ an.~a~ ~•y S~~ / ~~ lO Dist. Pipe f .~/ 3 ~. ~r q S~ O 0 Bot. Systey ~' 7 ~ 6 6 0 Final Grade .~- ~~. St Cover ' .3 i ~+ U~ ~~~ ~ G, ~ Z - Z` ~. I Q~ ~ G k nl BED/TRENCH Width Length No. Of Trenches IT DI NSIONS No. Of Pits Inside Dia. liquid Depth DIMENSIONS 3' /,~ ~/ SETBACK SYSTEM TO P/L BLDG WEL LAKE/STREAM LEAC ING CHAMBER OR Man ctur 'f1~~/ '/ I `i W INFORMATION Typ f System: ~ UNIT Model Number: ~~~ D UTION SYSTEM cno rnv~o ..____..__ e..._._~_ n_~.. .,., nn.......1 n. AF_(_re'Ie Cv~4cme C]nly -J c Vent to Air I ake 3rd S - R ' ~-~. Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center / _ ~j/ Bed/Trench Edges Topsoil ~-~ Yes No .. ,~ Yes No COMMENTS: (Include code dlscrepencies, persons present, etc.) Inspection #1:_~1_/~Q_? Inspection #2:~( _/ d /t/ Location: 1066 Golden Oak Drive Hudson, WI 54016 (SW 1/4 NE 1/4 7 T29N R19W) NA Lot 7 ~ Parcel No: 07.29.19.1C ~' ~~ 1.) Alt BM Description = 1 Q~ G~ ~Sf sh0~2 Z(~G(/4, 2.) Bldg sewer length = ~r~~ ,.~0 - arnount of cover = Plan revision Required? Yes No ~ '/ ^^ - , ~. S~ ~~ Use other side for additional information. " ~ ~ C~ Date Insepctor's ignature Cert. No. SBD-6710 (R.3/97) ld ~ Header/M if ~ Distribution x hole Size x Hole Spacing ~ ' , Pipe(s) ~ ~/ acin I ~ S th Di L ~ -. Length O Dia g . p a__ eng tB)1T1tti1erC@.wl.gOV Safety and Buildin ivision County 201 W. Washington A .O. Box 7162 St CrO1X . ~~~ ~ ~ ~ ~ Madison, S37 - Sanitary Permit Number (to be filled in by Co.) Department of Comrrteroe S fl (o Z O R Sanitary Permit Application State Transacti°° NumberN~ In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appr°pri ve ntal Project Addn.ss (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned WTS are d t itt th D rt b f C l ' /n~ l d~ ~ su o e epa ment o m e ommerce. Persona information you provide may be used for secondary . q Same ~ ~ b to (p ses in accordance with the Privac Law s. 15. 1 m ,Stets. ~C~ , ~, A li I ti f I i ~~~ . ca ormat on n on -Please Print A8 Information Property Owner's Name ~ Parcel # Ja R. & Gail V. Lund MAY 2 5 2 ~ ~ 7 020-1000-30-000 Property Owner's Mailing Address ~Q~ Location ST. CROIX COUNTY ~~G 1066 Golden Oakes Drive Govt. ~ City, State Zip Code Phone Number SW '/+, NE '/+, Section 7 (circle one) Hudson, WI 54016 715) 386-7803 T 29 N; R 19 w II. Type of Beilding (check al! that apply) # ^ 1 or 2 Family Dwelling -Number of Bedrooms 5 7 Subdivision Name lwr.¢.twe Block # Na ^ Public/Commercial -Describe Use Na ^ city of ^ State Owned -Describe Use CSM Number ^ Village of , ,, !~l Town of Hudson CSM Vol. 1, Fg. 89 III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) `~' ^ New S stem y Re lacement S stem p y ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System (explain) B• ^ Pemut Renewal ^ Permit Revision ^ Change of Plumber ^ Pennit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner 1V. a of POWTS S stem/Com neat/Device: Check all that a Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Crrade ^ Mound >_ 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Componen lain) ^ Pretreatment Device (explain) V. Dis UTreatment Area Informati : 76 In trator ` W" chambers 20.0 s .ft EISA /chamber + 4 air end c s 5.8 EISA = 1,543.20 s . ft. Design Flow (gp~) / Design Soil Application gpdsfj Dispersal Area Required (sfj ~ Dispersal Area Proposed (sf) System Elevation 750 d , O.S in-situ soil 1,500.00 s . ft. 1,543.20 s . ft. ,/ 84.00 / VI. Tank Info Capacity in Total # of Manufachrrer Gallons Gallons Units p~u? ~ _ New Turks 8~asting Tacks ~,.~ ~ I lok F,•i o ~ ~ .°~ o ~ ~ °~' ~ ~ ~ w ~ ~ a sepeeo<Hokliagraok 1,000 1,000 1 U own X 750 750 1 Wieser Concrete X Dosing C6am6er VII. Responsibility Statement- I, the u ersigned, a ume sibility fo on of the POWYS shown on the attached plans. Plumber's Name (Print) Plum 's Si MP/MPRS Number Business Phone Number James K. Thom son 5- 30021 715 248-7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, Wi 54020-5413 VIII. Caun artment Use On! proved y Perm it Fe e u Date Iss Issuin ant Si / ~ //~~ ~ V ~ ~ $ ' p O 5 12 Given n for Deaial 1 1 IX. Conditions of ApprovsUReason or Disapproval --TT~, AA SYSTEMQ1AllVER:- 3> 1-ar' d~`/e.~ a,~/e. Cain, v~o~ 1. Septic tank,. eftlttertt finer end dispersal ceH must all be servtcee / mairrtakted / ~ 5 ~-~ ~ ~2 6 ~ c~ c~ s ~ vim. v`t v 5'~'~ as per management plan provided by plumber. st be maintained ire ents m rtb e All 2 k ~ ~ se ac qu m u r . . ~ ba cep Go , .. nttsca to comprete plain for me system a0a submit to ~ Connty emy an paper not teas tlw a 1/L a l l~inc6es is sift SBD-6398 (R 01/07) Valid thru 01/09 ~) ~i ~ EX~:s&~ ~~aa S c~a. /e ~ / =S/O 1 \l may ~ Ca' '`"" yy r1E yrc. ~P / 9 ~, ~. o~',~ PN. moo. d~~ ~~8~ ~~~ P,~ e%v` ,~.~., ~~/~s CT. 29//., i _~ -~ ~'~t ~,~;s ~~ e ~~i ,B • ~ of 5.~~ $ 6aalr~.n Qt 5. cLe~ C=,Y..3~% n ~~- v.m = i oP or i .93so,f Ci~j~/~~'. loco-~i'on of _EXi.s~i h 1, c~ ~ Co,-ic~c~e ~ ~ u.~r~ e_d .e /e ~~~,'c ~.b/e. S.T. ~D i5P it Ca.~,~ e c~eo~ I P.-a~sec/~;~su fie. , wcP75z~-wt,~',Se~, c f~,.l~w/Ao/yco.('.gC-sus tFj/u c., ~ ~''/~cra~ v~L out/L E~ , ~ ~, ~ ~ ~ _ - ! ~~~ .-_ ~ ~ ~ ~~,~~ ~~ ~. o ~t ~ ~~ i ~ ,~ ~ ~ ~ ~ i ~ ~ ~~ ,~ ~ ~~ -- /~ ~ -- ~. L32 ~. ~ `~ ~ ~ a"¢~eco~,ze ~d -~~9f~! 9/. o a; ~ , ~ ~~ ~, u~...,p ~- -~ (~~ ~leC. ~4~5{e.-n,4~ ~/¢~ = 98. ~o. °~~ Q sow ~ ~° s.._ H y~ ,C-oc~cd ,yE • EXi3~~ ~r•Qalel ~Ay ~ l?U/ .Lus1 ~o~/S ~~ t yy r1E ~ ,Scc. 7 / 9 cJ., n. of .~ S~ • Crok d cfac.~.d p`/. '~ o1c ~~~ e ~'~i5 fJ~9 3 ~.~r~ d~.Y, ,Yi3~' ''~i 5• cC~ (,tee// ~ ~ ~~ • ~ o ~ vl lr~~•o/n.: iopor i s.r. ~~~/e Cow: ~i/~ oF~"o~El~ -93 so ~.. ~va~ ~, ~ e/ev`. -~~ 4~oi0r'ol, % to cam.-~i'c~n o ~c' _EXis~i%-i 1,~~ Carrc~cx~e S.T. 21v ~ it ~,~ n e coed I Pi-acnsec/~,-~su 'Cake. w~P75~-•K,PS'e~, c {~ XW/moo/y,Go.f~P~-s~S tFf/u ~n ~ ,C;'/~cra~ y~ oc~-~/t ~ , cp ~ . ~ __ ~ ~~ ~ ` ~ ~~~~ ~/ ~ ~ o ~ '. ~ ~ ~ ~ ~ ' ~~ .~ ~~ f ~ ` ' i ~ ~ ~ u~il~ ~i .' .. ~ ~ ~ ~ ~ i ~ ~~ .~ ~ ,, -- ~ , ~~~' r ~ ,.., - , /~ ~ - - ~~ 42 ~. ',~ ~' ~ ~~ \ e~(dt~ $9.0~ ,~ i~ ~ s3sb%e I ~~d ~~ o, ~ _ _ ~ ~ 89. ~ ~ -.~~9~3?3r ~~ ~ h ,~ . 9/. o a; /vc. ~ 93.o'c.~~~ ~ b~ ~, u~..~,p ~- -~ a~ Q To a Spy ~~//.f . 29~,, /,~ -fib ~~[ -G/ec. ~onS~n~ ~/ev = 98. (00 `~~ ~ `~~- F ~ ~~ ~ ~ ~ ~ 200a f .l.'stvlx"~~12~14 'h` , E ZONWGO~OG~_ Wiaoonsin Departrnent of Corru»erce SOIL EVALUATION REPORT Page / ~ 3 Division of safety and Buildings in atx:ardar-oe wah Comm 85. Wis. Adm. Code (~ '-I . ~, Atta0tl~q Bite plan ~ ~ "i-. C Rp / ~ 6b Raper not lass tfian 81/2 x 11 inches in size. Plan must S inducts; not (milted to: vertical and horizontal reference point (BM), direction and Paroel I.D. percent stops. scare or dimensions, north arrow, and location and distance ro nearest road. 6 ~ l~©0 3Q - OD i~ Please print all information. b ~ Pemorutl information 1rou provide maybe used for secondary PwPoBes (PrivecY Law. s. 75.04 (~) (m)). ' g [ ~ ProperlyOwrrer p~rty~~ Jb ~~ G~ ~t 1 L L V N D Govt. Lot /~/~ 1/4n/~'1/4 S '7 T 29 N R~ g E (a~ Property Owners Mailing Address Lot # Bbdt # Subd. ar CSA~i I o b ~ ~ozDE~ OAKS Drz~v~ -v(. I ~ ~( ~ Smote ~ Code Phone Psxribar ^ Village ,®,T .Nearest Road }.( / v~orJ W ~ S~f01 !o ( ) N~~s~~1 C-tv~A~~or¢K U New Canstrudion Use; Reslderrfial 1 Number of bedrooms ~4 J ~" Cow derived design fbw rate _ f!o d0 ~ ~ 50 GPO ~ ^ Public or conurier~l - Descr~e: Parer material __ L b~ O VAR S ~tJ1~~- Flood Pfain elevation iFappGcable IV /A {~ Genera oormierns v UTw Ott- ~ .~v~ ~'~ ~ ~~.zJ sc l `~ ~ boo `~ a ~ Be L ~ d. z .S' 3 a# ~ ~~ ®Pit Ground surface elev. Q 3.19' g, Depth m limiting factor ~ 9 / in. ~ Ra68 tbrimn Depth Dominant Redox Desai ption Textre Struci<xe Consisterx~ Boundary Rao GP D/fF &r. Mur~etl Uu. Sz. Coat. Cobr Gr. Sz. Sh. 'Hf#1 'E1fiE2 ~ '" S I V 4'R Z/z ~ Z F' 81{ MFR C. 5 ~ V F . (o . S 2 $~ZO IDYR.~/3 - S iC/ 3 ~'BK M~~~ 5 ~ v~ .~ 3 ' '~! _ 20'3 -5' -vYR'~/~I- 1 v L+CiZ`~'/mot - - e 1 SC ~ 3v~~,K 3 ~ ~3K M. ( i Gs ~- ~,,~ zv~ - •2 . y- .3 5 ~ -q ~ ~ `t'24/ - S ° ~i' Nt L - ~ O ~s ®Pit Ground surface elev. • 82 iG ~, m meting tacxor > 93 ~,. soft f~ Ftorizon Depth Dorrrdnant Redox Description Texture Strucbre C.oence Boundary Rohs GP D1fF in. Munseb Qu. Sz Cad. Cobr Gr. Sz. Sh. 'Eff#1 'Etf#2 ~ 0 - q ~v era. 3/z - Q r>7 ~ R c_S 3 V ~ • ~ .$ 3 22- IcY~,4/y.. -- i C I 3 M e M V'F v~ v~ •~ 4 3 loY ~-/~ - ~~ ,,~ . ~`'T k E1Nuerd #'1 = BOD > 30 < ~0 ~ and TSS >30 < 150 rngti J ' E11>veM +DCl = BOD < 30 rrgll. and TSS : 30 rriglL ~~ Prrrt~ CST Number >; ~ iJ U I_ ~-,~-t- 85993 Address Oa6s Evakmtbn Carrdtxsed Teleptrorre Number ?~/2. j°TH-~1E ~rLt~g ~~4c.t_~4-.t.~I .`~a~ IL.2~' ~"7rS1-~~~_~.4.~ L u~v v paroeifd# nl~ °~ _ ~A.z~ ~Al page Z d_~_ I .J i~I F'tI yaawww auww.awa~. - - ... vayw. w wwway .w~ww - we. ~ ESC i~ocl~ow Oep®~ Rlsdoat OesaipBon Ta~due Stetwtune Cot~oe Boutxlary Rook GP 011~ in. Qu. 8z CarR Color Qr. Sz. Sh ~ '~[ 'E~2 / D' 8 I O `~R 3/Z ~- ~- Z M G-i rK F C 5 3~ F • to Z $-15 IoYR3/3 _ iC/ ~ l CS vF .4 3 15-2 b -o~stz3/3 - s 1 2 n~- 8 ~ 2 c,, w Z~~ 5 Pg cas~eele,-. fl. oepihbiraligiec~oe; ~. ~ D# ° Horlaon Deptlt Oon~rt Redooc Dasaipgon Taxhre S'tucGs+e Can~enoe Ba~ndaty Rods r ire Nub _ Qu. Sz. Ceti. Cola Or. Sz SEt. "l'~1 { '~,'~.; ~~ a ~ ph C~rvtuMsttrfaoselev. R L>epfh b ~ fador in. .. ~ Rale Haiaon Dapih OoaimnR Retiotc Oespip6ott. Tax~re Strtsttr~e Ca~ttsisMattoe 8otrttdary Rods CaP QAAF itL IlAtstser Qn. Sz Coat Color ate. St. Sh 'i~t '~ ^ ~~ Q Cxoa~d~afeoeekar. ,< oe~-alr~or +n. sa Rale tlotia~ott E)s~t Doninsnt Retiotc De®dpgort_ Texlus S>rvcWre Corfsisl~toe 8aatdary Roils h Qu. Sir. Oottt Odor QG S`~ Sh 'EfIlF7 '~ •l~Fi~B~a>3Q<?2Q~rgllandTSS>~_<15Umgll. 'E1Auent~l2=BOD,<~ttgtLBnd'F5S<30e~R. Parcel #: 020-1000-30-000 osiosi2oo7 11:19 AM PAGE 1 OF 1 Alt. Parcel #: 07.29.19.1C 020 -TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O-LUND,JAYR&GAILV JAY R & GAIL V LUND 1066 GOLDEN OAKS DR HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1066 GOLDEN OAKS DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 6.910 Plat: N/A-NOT AVAILABLE SEC 07 T29N R19W SW NE PARCEL AS DESC IN Block/Condo Bldg: V 492 P512 A/K/A #15 ALSO LOT 7 CSM 1/89 EXC THEE 327.46' THEREOF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 07-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1085/087 WD 07/23/ 1997 1039/508 W D 07/23/1997 983/86 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.910 139,600 398,600 538,200 NO Totals for 2007: General Property 6.910 139,600 398,600 538,200 Woodland 0.000 0 0 Totals for 2006: General Property 6.910 139,600 398,600 538,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 115 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~'" ' - L yn~ v z owner aF Peoperfy Panoei io ~ ~ _.~ ~ O !~ Pu cnx~a s~.iaoe Nn+r. $•$ •2 (o ~. oepa- a f tom) 9 / ~. ~ f~ tbrtmn f7epff, Radooc oes«tpfion Texfu~e Saucdaa Consi~enoe f3oundm~r R~ c ~. feel au. s:. c:ora. caolor car. sz. sh. ~ '~1 '~2 l D'$ ~n `YR 3/~,., •- ~. L G M F C 5 3 J F' ~ to z "15 IOYR•3/3 - ICI ~~ es vF .~+ 3 15.2 b -urn3/3 - S 1 2 n~- 8 ~ c,. w Z~~ ~ ~ 7.5YR~/ - S o r~t~ - - •~ I. ~ 5 D f~ ° ~ ~ =. ^ pu (~unastirraoeele,-. n. ~ ~ '"- sdf Role t{oriaon f]e~ Oomin~ft Radaocl?escx~plon Textirs Sltucf<ire CansieBenoe Boundety hoofs r~_ ,:, iR flMit~sel ou. Ss. Odrt. Cdor C1r: Sx: Sh. 'E•lf~1 ~ ,~_ [~ t~ f~oundsurfaoselet-. fL Depd~f+o6rrii6rgfaof~x in. ~~ a .. Rol- Rafe Florlaon L1apQi Clarinerk Redoot Oescrip6on. Texfue Si:ucfure oatsi'sfat~oe Botetday hoofs C~PQpE h TYka~eD t>v. Sz. oac. Color tt sz. sh. 'fit '~ a ~ Qoir~ds~a(soeeMnr. ft Depth to fad~or i~. ~~ ~ ~ Soi Role Hotlaon ~ f]onitant Redox Oesotiplion. Tex~e Sirucfure Cooe eoendary Rook ln. Hansel flu. SY. Qac~t Color Gc Sz ~. 'Qfl~f 'Efll~2 r 'tom ~1= BoQa ~ 30 <220 ttglt. andTSS X30 _< f30 mg1L ` t ~ = t30Df <~? rtglL and TSS= 30 ~ ~~ ),~'~, rTel w • ~ -~/ T ~'tY S EPTIL'TA N K ~~ F3 M 2 = 18.20 CTOp O~ MAC H•oL~ cov~tz~ v 3a ~: t8a ,.~ : 3aa 2' 3 ~ (EM 1=100.00 29' ~"T'TOM G~5 tD-~- dw~a ~ N ~~-r ,~ = 9 ! ~ 00 ~ ~ ~~~ ~~ ~~ O W~LL_ 2~' 4 E3t~PFZCbM ~-c7vtsE ~' 9-1' ~R Y W E 1-t-5 , 'g i = 93.1y Tc7 t3>/ 1~8p„~L`oN-FD '~ 3t' ~ ~LcoR~iat~-ro Conq 8'3.3 g3.1`i- ~~~e 3b~ 3 • - ~t II ~ r o `~ z _ Z ~ 11 V ~"_~~ S ~~ ~~ $5..82 ~' _~ too" Goy ~ -- i ~, / ~~ ~~ r32 = fj 5.82 U _~ Q ~v i O Z Q C~ r ~~ ~~ \p on.....-.,.,..».- 1'f~ ~r ..fln....,..,. ~.,,.,, ~~ ~1 ~ _ ~ ~ ~ ~ ~ ~ ~ ~ --O' i*~ co EXISTING TOWN ROAD _ ~ - " M ~ _. t0 M M . S8 B~° ' ?6.~ '~ 0°4p z 42 ~.~ ..~- - g ` E 5 N ~ ~ o 63 268 0 ~ o ~ ~ _ 20° 44` SOUT ERLY RIGHT- R= 745:20` nF-W LINE L= 271. I 1 _sT ~~~G W v 0 O Z ~u~~ O 0 ti ti N $W I/4-NE LEGEND ~ SECTION CORNEk MONUb?ENT. 22 -~, ~ ~ O 1" X 24" IRON PIPE 4VEIGIIING "o ~~ ~~', ~(P~ 9i ~ S89°26` W 1.68#/LINEAL FOOT. ~ 4 50.00` O' 960.1 I` S89°26`W POINT OF BEGINNING E I/4 CORNER SOUTH LINE OF THE NE I/4 SECTION 7 SURVEYED FOR: K.B. Priester T29N,R19W DESCRIPTION 619 2nd Street, Hudson, Wisconsin 54016 A parcel of land located in the S1/2 of the NE1/4 of Section 7, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin described as follows: Commencing at the E1/4 corner of said Section thence S89°26'W (true bearing) 960.11' along the South line of said NE1/4 to the point of beginning; thence 589°26'W 450.00' along said South line; thence NO°46'E 571.70'; thence S80°40'E 182.42' along the Southerly right-of-way line of an existing town road..; thence Easterly along said Southerly right-of-way line 271.11' on a 749.20' radius curve concave Northerly whose chord bears N88°58'E 269.63'; thence SO°46'W 542.53' to the point of beginning. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34 of the titirisconsin Statutes. Date: February 7, 1975 ~ - _LOT 6 TRUE BEARING LOT 7 ~ ~ q`~,~,~`~+rr,~o~~,yo~~~. _~ -~ $~® rte.. ~ 5.50 ACRES m h~®~~~~°" • `. .. ~i SCALE ~ N ~' °'~FRANCIS H~ ~ 100 0 SO 100 0 ~ OLD: N I ~ ~ ~ 8-882 ~ ~ a ~ ,re RIVER FALL. ;` (~ ~• . OLDEN S-88Z" J b No. 75 427 ~~~ . ~~'-~ 9 __ 1 __- ~ `~ ~ M ~p ~ _• 'Q'om .~ _„ -. ... ~ .r - - In - -. _ ih co EXISTING TOWN ROAD ~ _ ~ _ 6 S8 i° 0°40 ~ ~ - - M- - ?s~ 2'42 o N $8° 58 , E 63 69 °~ti I o 2 . ~ ~ ~ = 20°44~ ~ SOUT ERLY RIGHT- R= 749.20' OF-W LINE L= 271.11 TRUE BEARING LOT 15 _ LOrt 6 _-- W LOT 7 ~~~d~~~u>t~roo~y,~~ ~ ~ 5.50 ACRES m ' M gyp... •.....~ '/~V o°a,~~,~G~GQ~Ys''~~',,i •~ ~ ° ~ ~ LE SCA ,. 1 .~ ~ I `~ ~ ,~ ? FRANCIS H Z 100 O 50 100 0 ~' ~ . ~ ~ .. OGD~N .. ~ , ~ ~ s•ss2 = ~ RIV'~h FALLS , t (g ;« °4 e+ ~ t Y11S. :° ~ ~~ ~ e his' /~ ~. ~ r M' ~ SW I/4-NEI/4 SE I/4-NE I/4 ~ -•~:,~'r~,r ~ v .-. ~°~ i sr`'~s aQ~ $ ~ a- `~~ LEGEND ~ SECTION CORNER MONUI~~IENT. O 1" X 24" IRON PIPE jVE I GI IING p,0 9i° S89°26'W 1.68#/LINEAL FOOT. ~ 4 50.00' `~~' 960.1 I' S89°26~W POINT OF BEGINNING E I/4 CORNER SOUTH LINE OF THE NE I/4 SECTION 7 SURVEYED FOR: K.B. Priesyer T29N,R19W DESCRIPTION 619 2nd Street, IIudson, Wisconsin 54016 :~ parcel of land located in the S1/2 of the NE1/4 of Section 7, T29N, R19W, Town of Hudson, :~t~ Croix County, jtiisconsin described as follows: Commencing at the E1/4 corner of said Section once S89°26'W (true bearing) 960.11' along the South line of said NE1/4 to the point of '~e;,inning; thence 589°26'W 450.00' along said South line; thence NO°46'E 571.70'; thence S80°40'E 182.42' along the Southerly right-of-way line of an existing town road.; thence Easterly along said Southerly right-of-way line 271.11' on a 749.20' radius curve concave Northerly ~~~;~ose c::ord bears N88°58'E 269.63'; thence SO°46'W 542.53' to the point of beginning. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34 of the Wisconsin Statutes. Da;;e: February 7, 1975 ~~ • ~w•rLiv ~-~uc Job No. 75-427 s b~ t .w ~~a.. ~-_ . ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner- --11~a~ ~ ~` ~'4. / !~ L ~c n ~ Mailing Address /d~~ ~/aCa, ~ Q~aC~.s ~r: Property Address csu..-rtQ (Verification required from Planning & Zoning Department for new construction.) City/State f~-~Sart, t,~~ Parcel Identification Number DZd - /~ - 30 ' ~o LEGAL DESCRIPTION Property Location ~~'/a , ~ t/a ,Sec. ~, T ~N R~_W, Town of f~~~sa'~ Subdivision //''du.Z~ +C3/-cp~,~/~•s ,Lot # / Certified Survey Map # 3 Z -S 9 7 ~ ,Volume ~ ,Page # Warranty Deed # S~ g ~ y ,Volume /mss ,Page # 87 Spec house no Lot lines identifiable ye5~ SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the Junction of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1 j and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set. by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 3U days of the three year expiration date. Uwe certify that ail statements on this form are true to the best of my/our knowledge. Uwe am/are the owner{s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms Jr SIGNATURE OF A LICANT(S) S/2/l 07 DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK TlZis is to certify that I have inspected the septic tank presently serving the ~~~, . ~G'Q./J Lc~.,o/ _ residence located at: sr-J '/a, rIE'/4, Section ~_, Town~N, Range~_W, Town of ~ , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service 5/,2.~j~~ Did flow back occur from absorption system? Yes ~No (if no, skip next line.) Approximate volume or length of time: (,c~..,(~naan gallons minutes Capacity: Construction: Prefab Concrete ~ Steel Other Ma cturer (if known): Gy,,~/„ow~ ge of Ta k (if known): _ j,G,~,t~,~o:.~.-~ -- ~g?,5'~ censed Plumber Signature) ~~P ~. (Title) a ~7 (Da ~ ~,05~ (Print Name) ~.1a (License NumberMPRS Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.O1J01). All local andlor state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(lxe). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absoration Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of a diversion valve. Valve to be switched diverting effluent from dispersal cell currently in use to resting cell on a two-year cycle coinciding with septic tank inspection and maintenance. Contineencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. ST.~T1; RAIi t1F' WISCQYS[N FORK 1 ~ 198Z TAI! iPAC[ RE9E11'iE'.l ACA REC011DING [,TA coc-un.tt=NT No vypRRANTY DIED ma a b•twe n .ROGER L. HEDTN and liet•dit+rRerow:f .. YVOi~v.~ HDitEL N, hus~ian~ and wife _ •~, ' - JUN 3 0 .lj::-+ Granwr' _: (~ 11 : l5 ~ A. and JAY It,- ZUNI) and GAIL V. LUND, .husband a•Zd ~ " , - -„ _ , wife as marital survivorship pruperty, j r` K.x~ - -- - ~ Grantee, Witnesseth, That the said Grantor, for a va]uable consideration AETL HN TC ranee; s to Grantee the following described rea{ estate in S,C, Crt) 1K ('ounty, State of Wisconsin: Tai Parcel tic:.---.--- - - ~--- A parcel of land known as Parcel iJ15 located in the SW-1/4 of NE-1/4ldisconsinon 7, St. Cruix County, Township 2y North, Range 19 West, To•.~m of Hudson, described as follows: Commencing at the E-1/4 corner of said Section '; thence S£19 26'W (true bearing) 1410.11 feet along the South line of said NE -114 to [he point of beginning; thence S89°2b'W 400.00 feet along said South ling thence N00°46'E 641.50 feet; thence S80°40'E 404.40 ,eat along the Sly ribht-of-way line of a proposed Town Road; thence SO°46'~•J 571.70 feet to the point of beginning. ALS0972 recorded inrthe Office fatheyRegisr~tbed°fiDeeds for1StV1CroixeCountymber in Vol. 491, page 207, Doc. No. 313208. TOGETHER WITH and SUBJECT TO easements, reservations, restrictions and rights-of-way of record, if any. ,__r ~a~~~~ -l This _=1.S.._...-...- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto heiont;ing; And _ Roger-.L,--Hedin. and--Yvonne. H. 1(edin warrants that the title is good, indefeasible in far simple and free and clear of encu:nbran~ey except and will warrant and defend the same. 94 June 19 day of ... Dated this ..(SEAL) cfr %~.1t~~7.- . _.. (SEALI Roger L. Hedin - - ....... ......... . ~• ~>~-•vJ (SEALI _..._(SE.~L) ~U1hk~l _.. _. _ - _-_ __ - . Y nne H. Hedin .___... - } AUTHENTICATION Signaturc(s) -------------------•-----------------•-•---•-•---------•-•- authenticated this ..--.-..day of--------------- -------•-, 19-.-.•. TITLr: MEMBER STATE BAR OF WISCONSIN (If not- --------- --------------------~--------•----•----- --------• authorized by § 706.06, Wis. Stats.) TH15 INSTRUMENT WAS DRAFTED HY Attorney Robert W. Trudge --•- M[iDGE, PORTER b LUNDEEN, S.C. Hudson..WI-.5401b.-----•---•-----•----------------------------- (Signatures may be authenticated or acknowledged. Both are not necessary.) ACSNOWLSDf}MENT STATE OF WISCONSIN ss. St. CroiX -_--County. ----- Personally came before me this ....30........day of - -_----•-•°•-,11IRk-------••-----••---. 19.9~t.-. the above named -Rolex-L.-..Hedi.n.and._Yunnne-.H_.-Hedin------- - - .....- .husband..and-~tife----•--•----------- -----------~..- . to me known to be the person ..--8-'--- ~~~~`Eh®~@Yg, fore oirg ir}strument and a knowledge the IW $ ~i11'~ ~~~i~and ~evioN -, - --- ---- _ NOTARY PUBLIC. -- -- Liada Singel lin-da S;~gel '-- - ---- --- --- .--- - ------ - --- - ---- ---S-fe~g Notary Public -..._ St.---Croix-_ -_-.,--_-_...`-°~~f1Sifl My Commission is permanent. (If not, state exp+ration date:... - -- ----- - ----- - - - -- 11-2 --• 19.97...) Q: ~' ~~c .~ ~ ~ v O L ~~ O J v CY r ~~~ I ~~~~ ~~ L~ a~ o ~- 1 ~ h. ;-. v~ ~~~~`~ ~~ X ~' i.. `~ ~f ~~ v at h T h ~d l- 9~3 ST. CROIX COUNTY WISCONSIN ~~ f ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. ^ 1;ti7ater (VOC's) $1~5. GG ^ Septic $25. OG Water'(I"Nitratep& Bacteria) $35.00 (Visual insp/e~ction) n Owner: ti~-~~ n 1`0 '~" ~/on-1 a Requested by: ; • - r' ' ~~' ~G` U~ Address : (a Oa s !~ r. Address : LodO ~ S~ . City & State: sort W~ City & St._~do©r w= Zip Code: SNDI(o Zip Code: 5~ot b Telephone N4: (~) ~ ~ ~ -~• ~ (~ 5' Telephone N4: (~ 15) 3~sG-R 3 3 b Property address ( Fire N4 & Street) : ~ DSO ~p ~ ~ a KS ~ ~• Location: S w ;,~~ ~, Sec., T~_N, R~_W, Town of doio!/ St. Croix Co. , WI. Tax ID N° Parcel ID N4 Q~ (~~ (000 -36 House color: Realty firm: Lock Box Combo: Water sample tap location: o~-~s~~ TO BE COMPLETED BY PROPERTY OWNER 7~PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM Is the dwelling currently occupied? If vacant, date last occupied: Septic system installed by: Septic tank last serviced by: Previous Owner's Name(s): Have any of ^Y ^N OY ^N OY ON OY ^N ^Y ^N the following been observed? Slow drainage from house. Sewage Back-up into dwelling. Sewage discharge to ground surface, road ditch or body of water. Slow drainage from the dwelling. Foul odors. Other comments relative to system operation: .~'~~ ~ ~ ! ,~ p;~ fit a?~~~bA, T~+, ~~~: ,, ~ .. _. . ~ ,~ ~ ~.-- I certify that the above best of my knowledge. OWNERS Year• Date• information is complete and true to the SIGNATURE: DATE: ^ Yes ^ No M~ ~, OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION t IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? OYes ^No Soil series per SCS Soil Survey: Type of soil absorption system: Approx. size 'X ' Ft . : OBSERVED DEFICIENCIES Semitic tank Setbacks: OHouse_ Dose tank Setbacks: ^House_ ^Locking cover ^Alarm ^Elec. Soil Absorption System Setbacks: ^House_ ^Ponding: General comments: OOther ^Well sheet # ^Below grd OAt-Grd ^Mound OGravity ^Dose ^Pressurized ^Bed ^Trench ^Dry Well ^Holding Tank ^Outfall pipe ^Other ^Unknown ^Prop. line ^Other _ OWell ^Prop. line ^Other_ _ ^Warning label ^Pump/Floats wiring ^Well ^Prop. line ^Discharge: INSPECTORS SKETCH OF SYSTEM LUCATlUN Inspector Title COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 ~i~~~s ST, CROIX COUNTY GOVEFiNi'iEPlT fd=POf`T I~IO.: 50034/07 Pl~iE ? CENTER hEF'ORT T1ATE: ].0104/93 ~ 1101 CARFIIGHAEL ROAD DATE RECEIt~D: 9/30193 HUDSON, WI 5401b ATTN; THOi#AS C. NELSON i i f i OWNER; Roger b Yvonne Hedin ~ LOCATION: 106b Golden Oaks Dr,, Hudson i COLLECTOR: Jim Thompson ~ DATE COLLECTED; 9-29-43 TIPfE COLLECTED: 10:15ae~ SC~iGE OF SANf'LES Laundry Sink DATE Ai~YZED;9-30-93 TIRE ANALYZED:2:OOpm COL.IFORM,i~'CC: 0 1100 ml INTERPRETATION: E;acteriolagicallY SAFE NITRATE-N: 3 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Goiiform E~acteria/100 ml Nitrate-Ni#rogen, mg/L .0~,\NDEVFNpfHj p` ('P D J A d ti !~. 'l O ~'i`L~_ .._.~.i ~~ ~1 o\i OCR ~, ~~~, ~~~`~, , :._ ~ . 8 ` ~` ~~ g LAB TECHNICIAN: Fam Gage WI Approved tab No, 19 < I'4eans "LESS THAN" Detectable Level .Approved bY~ PROFESSIONAL LABORATORY SERVICES SINCE 1952